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CLEARLANE BEHAVIORAL HEALTH LLC
NPI 1235066945
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tampa, FL

Active since May 06, 2026
2780 E FOWLER AVE # 601, TAMPA, FL 33612(813) 444-2276(614) 412-2522 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clearlane Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEARLANE BEHAVIORAL HEALTH LLC (NPI 1235066945) is a healthcare organization registered as a mental health (including community mental health center) in Tampa, Florida and active in the NPI registry since May 2026. The organization lists Courtney Wilder-whiting, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1235066945
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCLEARLANE BEHAVIORAL HEALTH LLC
Location Address2780 E FOWLER AVE # 601Tampa, FL 33612-6297
Mailing Address2780 E Fowler Ave # 601Tampa, FL 33612-6297 · (813) 444-2276 · Fax (614) 412-2522
Phone(813) 444-2276
Fax(614) 412-2522
Organization SubpartNo
Authorized OfficialCourtney Wilder-whitingNurse Practitioner/owner · (813) 444-2276
Enumeration DateMay 6, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1235066945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2780 E FOWLER AVE # 601, Tampa, FL 33612
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clearlane Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clearlane Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Courtney Wilder-Whiting, FNP-C, PMHNP-C
Nurse Practitioner
NPI 1346600558
2780 E FOWLER AVE # 601
Tampa, FL 33612
(813) 444-2276
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clearlane Behavioral Health LLC's NPI number?

The NPI number for Clearlane Behavioral Health LLC is 1235066945. It was assigned to this organization in the NPPES registry on May 6, 2026.

Where is Clearlane Behavioral Health LLC located?

Clearlane Behavioral Health LLC is located at 2780 E Fowler Ave # 601, Tampa, FL 33612. The listed phone number is (813) 444-2276.

What is Clearlane Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Clearlane Behavioral Health LLC enrolled in Medicare?

Yes. Clearlane Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clearlane Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clearlane Behavioral Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clearlane Behavioral Health LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.